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1902914021
KOUROS IZADI
SAN MARCOS, CA
NPI
1902914021
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: CA 53519)
Enumeration Date
2006-08-28
Last Update Date
2007-07-08
Business Address
Dr. KOUROS IZADI DMD
709 CENTER DR STE. 101
SAN MARCOS, CA 92069-3536
Phone number: 760-746-2045
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Mailing Address
Dr. KOUROS IZADI DMD
2860 MICHELLE 2ND FLOOR
IRVINE, CA 92606-1009
Phone number: 714-508-3600
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